Fractionated Photo-Rejuvenation

Fractionated Photo-Rejuvenation

Westside Dermatology is always one step ahead in the aesthetic field.  Fractionated lasers can be combined with other treatment modalities to dramatically improve facial skin texture and tone with only one treatment.


  • This technique combines BroadBand Light (BBL) with a customised fractionated laser resurfacing technique.
  • Fractionated photo-rejuvenation has revolutionised facial rejuvenation with extraordinary results in just one treatment.
  • This is an excellent method to treat freckles, solar damage and facial pigmentation.
  • It is also an excellent method to treat pigmentation on the chest, neck, and décolletage areas.
  • All skin types including darker skin can be safely and effectively treated with this method.
  • The results of fractionated photo-rejuvenation are far superior than with BBL alone.

This procedure combines two treatment modalities into one treatment to give far superior results than either procedure alone. In the past, BBL has been a proven method of photorejuvenation, and can safely and effectively reduce superficial  pigmentation. The limits of BBL however has been hampered by the number of treatments needed (often up to 3 treatments) and the inability to safely and consistently treat darker skin types.  Additionally, deeper pigmentation is relatively resistant to BBL treatments. With fractionated photo-rejuvenation we combine a more specific form of BroadBad Light together with a shallow resurfacing technique known as fractionation to give far superior results then BBL alone.

BBL treatments address the superficial pigmentation, whilst fractionated laser penetrates into the deeper layers of the skin, targeting deeper pigmentation as well as stimulating collagen formation. Stimulation of collagen is necessary to improve skin tone, whilst reducing pigmentation improves texture. Fractionation involves delivering very tiny columns of laser light into the dermal layers of the skin. The ‘fraction’ of the skin’s surface treated is determined by your treating physician, and is dependent on factors such as your skin type, the type of pigmentation and recovery time.

This procedure can be used for over all rejuvenation of your skin. Facial pigmentation including freckles and sun damage respond well to this method. Additionally we have obtained excellent results with this procedure on the neck and décolletage areas as well as the hands and forearms. Essentially both skin texture (pigmentation and roughness) as well as skin tone (laxity and wrinkling) can be addressed.  In patients who seek greater improvement in skin tone, a greater degree of ‘fractionation’ is used to stimulate more collagen.

The procedure is a two step process. The first step is the BroadBand Light (BBL) treatment.

Make up is removed and the face is cleansed.  The eyes are protected with eyepads and a translucent gel is placed on the face. This facilitates even transmission of the broadband light source. Treatment takes approximately 15 minutes to perform and is well tolerated by most patients.  After completion of this first step, a topical anaesthetic cream is then applied to the treated areas; this ensures that the skin is relatively numb prior to the fractionation laser treatment. It takes approximately 60 minutes for the cream to take effect. Fractionated laser resurfacing is then performed and on average takes between 15-20 minutes to perform.  A cool compress is then placed on treated areas, and an occlusive gel applied at the end.

Post procedure care is simple- we provide a non-irritating face wash and an occlusive gel to use twice a day for the next 72 to 96 hours. Sun avoidance is absolutely vital for at least 3 weeks post procedure and a sunscreen should be applied daily to maintain results.

If several treatments are advised, we generally space treatments 4-6 weeks apart.

We often refer to this technique as a ‘Weekend Resurfacing technique’ – if the procedure is conducted on a Friday, patient’s often return back to work on a Monday. 80-90% of recovery will be within 72-96 hours of the procedure. Down time (time where the skin is still healing and make up must be avoided) is dependent on the intensity of the procedure and the severity of the skin condition. Your treating physician will assess your skin and discuss down time with you at the time prior to the procedure.

This procedure is a superficial resurfacing treatment and complications are very rare. The most common side effect profile are-

  • Demarcation: can occur between the treated and untreated sites. If this occurs, your dermatologist may recommend retreatment of areas not previously treated to blend in the surrounding areas.
  • Post inflammatory hyper pigmentation: may occasionally be seen in darker skin types. It presents as darkening of the treated area. This will settle down with skin lightening agents and sun protection.
  • Blistering: is uncommon and seen in less than 1% of cases.  It will settle within 3-4 days.
  • Infection: is very rarely seen. Notify your treating physician if you are prone to cold sores or come into contact with cold sores after the procedure.

Trusting a physician to give safe and effective results can be daunting for many patients. Laser trained and procedural Registered Nurses are best equipped with expertise and the latest technology to give optimal results to our clients.

Call Westside Dermatology directly on (07) 3871 3437 to make an appointment.

Fractionated photo-rejuvenation has combined two great treatments in succession to give compounded results. With the event of fractionated laser it gives me the ability to fine tune the parameters of treatment, acknowledging the patient’s requested recovery time, as well as enabling concentration on more resistant areas of pigmentation.

Fractioned photo-rejuvenation has also enabled to effectively and safely address pigmentation issues in darker skin types including Asian and Latino patients. The use of BBL alone is relatively contra- indicated in darker skin types, however with fractionated laser it opens up avenues once closed.

In summary, this treatment is both a safe and excellent method of treating the vast majority of pigmented skin conditions including freckles, solar pigmentation and age spots.